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116-430: In the field of medicine , consolation has been broadly described as follows: Before and after fundamental medicine offers diagnoses, drugs, and surgery to those who suffer, it should offer consolation. Consolation is a gift. Consolation comforts when loss occurs or is inevitable. This comfort may be one person's promise not to abandon another. Consolation may render loss more bearable by inviting some shift in belief about

232-571: A sacrament called consolamentum , which required consolation for the inevitable regret of living in order to move nearer to God or to approach heaven. Consolation is also a classical theme in the arts. The poetic form of elegy , for example, has been described as "a verbal presentation or staging of emotion, wherein the detached speaker engages the audience with the intent of achieving some form of cathartic consolation". Examples of literary devices which may be used to provide consolation include prosopopoeia , wherein an author or speaker may provide

348-505: A specialist , or watchful observation. A follow-up may be advised. Depending upon the health insurance plan and the managed care system, various forms of " utilization review ", such as prior authorization of tests, may place barriers on accessing expensive services. The medical decision-making (MDM) process includes the analysis and synthesis of all the above data to come up with a list of possible diagnoses (the differential diagnoses), along with an idea of what needs to be done to obtain

464-561: A Brahmi script inscription, was discovered by colonial era archaeologists in Besnagar ( Vidisha , in the central Indian state of Madhya Pradesh ). Based on the internal evidence of the inscription, it has been dated to between 125 and 100   BCE and is now known after Heliodorus – an Indo-Greek who served as an ambassador of the Greek king Antialcidas to a regional Indian king, Kasiputra Bhagabhadra . The Heliodorus pillar inscription

580-407: A combination of all three. Most tribal societies provide no guarantee of healthcare for the population as a whole. In such societies, healthcare is available to those who can afford to pay for it, have self-insured it (either directly or as part of an employment contract), or may be covered by care financed directly by the government or tribe. Transparency of information is another factor defining

696-429: A combination of art and science (both basic and applied , under the umbrella of medical science ). For example, while stitching technique for sutures is an art learned through practice, knowledge of what happens at the cellular and molecular level in the tissues being stitched arises through science. Prescientific forms of medicine, now known as traditional medicine or folk medicine , remain commonly used in

812-402: A consolation prize in recognition of the losing participant's merit as a charioteer. This effort to award a consolation prize is thwarted by the actual second-place participant, Antilochus who successfully objects that the prize should go to the competitor whose performance met the requirements of winning the prize. Medicine This is an accepted version of this page Medicine

928-569: A cumulative total of between 16,000 and 18,000 verses depending on the version. The tenth book of the text, which contains about 4,000 verses (~25%) and is dedicated to legends about Krishna, has been the most popular and widely studied part of this text. Krishna is represented in the Indian traditions in many ways, but with some common features. His iconography typically depicts him with black, dark, or blue skin, like Vishnu . However, ancient and medieval reliefs and stone-based arts depict him in

1044-792: A dancing child, or an innocent-looking child playfully stealing or consuming butter ( Makkan Chor ), holding Laddu in his hand ( Laddu Gopal ) or as a cosmic infant sucking his toe while floating on a banyan leaf during the Pralaya (the cosmic dissolution) observed by sage Markandeya . Regional variations in the iconography of Krishna are seen in his different forms, such as Jaganatha in Odisha, Vithoba in Maharashtra, Shrinathji in Rajasthan and Guruvayoorappan in Kerala. Guidelines for

1160-500: A decade after medical school. Furthermore, surgical training can be very difficult and time-consuming. Surgical subspecialties include those a physician may specialize in after undergoing general surgery residency training as well as several surgical fields with separate residency training. Surgical subspecialties that one may pursue following general surgery residency training: Other surgical specialties within medicine with their own individual residency training: Internal medicine

1276-553: A definitive diagnosis that would explain the patient's problem. On subsequent visits, the process may be repeated in an abbreviated manner to obtain any new history, symptoms, physical findings, lab or imaging results, or specialist consultations . Contemporary medicine is, in general, conducted within health care systems . Legal, credentialing , and financing frameworks are established by individual governments, augmented on occasion by international organizations, such as churches. The characteristics of any given health care system have

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1392-494: A delivery system. Access to information on conditions, treatments, quality, and pricing greatly affects the choice of patients/consumers and, therefore, the incentives of medical professionals. While the US healthcare system has come under fire for its lack of openness, new legislation may encourage greater openness. There is a perceived tension between the need for transparency on the one hand and such issues as patient confidentiality and

1508-513: A few minutes or a few weeks, depending on the complexity of the issue. The components of the medical interview and encounter are: The physical examination is the examination of the patient for medical signs of disease that are objective and observable, in contrast to symptoms that are volunteered by the patient and are not necessarily objectively observable. The healthcare provider uses sight, hearing, touch, and sometimes smell (e.g., in infection, uremia , diabetic ketoacidosis ). Four actions are

1624-416: A metaphor where each of the eight wives signifies a different aspect of him. Vaishnava texts mention all Gopis as wives of Krishna, but this is understood as spiritual symbolism of devotional relationship and Krishna's complete loving devotion to each and everyone devoted to him. In Krishna-related Hindu traditions, he is most commonly seen with Radha . All of his wives and his lover Radha are considered in

1740-490: A model lover, a divine hero, and the universal supreme being. His iconography reflects these legends and shows him in different stages of his life, such as an infant eating butter, a young boy playing a flute , a young boy with Radha or surrounded by female devotees, or a friendly charioteer giving counsel to Arjuna . The name and synonyms of Krishna have been traced to 1st   millennium   BCE literature and cults. In some sub-traditions, like Krishnaism , Krishna

1856-687: A navigable river named the Jobares. According to Edwin Bryant , a professor of Indian religions known for his publications on Krishna, "there is little doubt that the Sourasenoi refers to the Shurasenas, a branch of the Yadu dynasty to which Krishna belonged". The word Herakles, states Bryant, is likely a Greek phonetic equivalent of Hari-Krishna, as is Methora of Mathura, Kleisobora of Krishnapura, and

1972-448: A patient to investigate or treat a pathological condition such as disease or injury , to help improve bodily function or appearance or to repair unwanted ruptured areas (for example, a perforated ear drum ). Surgeons must also manage pre-operative, post-operative, and potential surgical candidates on the hospital wards. In some centers, anesthesiology is part of the division of surgery (for historical and logistical reasons), although it

2088-480: A period of supervised practice or internship , or residency . This can be followed by postgraduate vocational training. A variety of teaching methods have been employed in medical education, still itself a focus of active research. In Canada and the United States of America, a Doctor of Medicine degree, often abbreviated M.D., or a Doctor of Osteopathic Medicine degree, often abbreviated as D.O. and unique to

2204-535: A poetic masterpiece, full of imagination and metaphors, with no relation to the realism of pastoral life found in the Harivamsa . Krishna's life is presented as a cosmic play ( Lila ), where his youth is set as a princely life with his foster father Nanda portrayed as a king. Krishna's life is closer to that of a human being in Harivamsa , but is a symbolic universe in the Bhagavata Purana , where Krishna

2320-476: A poor herder but weaves in poetic and allusive fantasy. It ends on a triumphal note, not with the death of Krishna. Differing in some details, the fifth book of the Vishnu Purana moves away from Harivamsa realism and embeds Krishna in mystical terms and eulogies. The Vishnu Purana manuscripts exist in many versions. The tenth and eleventh books of the Bhagavata Purana are widely considered to be

2436-424: A representation of the ongoing thoughts or opinions of a deceased person. In some kinds of competitions, losing competitors receive some form of award or recognition as a consolation for their loss. This may come in the form of a consolation prize given to a runner-up , or a consolation match in a sports tournament, wherein the top two teams compete for first and second place, while the next two teams compete for

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2552-460: A saint from Gaudiya Vaishnava school , who described Krishna theology in terms of Bhakti yoga and Achintya Bheda Abheda . Krishna theology is presented in a pure monism ( Shuddhadvaita ) framework by Vallabha Acharya , the founder of Pushti sect of Vaishnavism. Madhusudana Sarasvati, an India philosopher, presented Krishna theology in nondualism-monism framework ( Advaita Vedanta ), while Adi Shankara , credited with unifying and establishing

2668-587: A secondary care setting. Tertiary care medical services are provided by specialist hospitals or regional centers equipped with diagnostic and treatment facilities not generally available at local hospitals. These include trauma centers , burn treatment centers, advanced neonatology unit services, organ transplants , high-risk pregnancy, radiation oncology , etc. Modern medical care also depends on information – still delivered in many health care settings on paper records, but increasingly nowadays by electronic means . In low-income countries, modern healthcare

2784-561: A significant impact on the way medical care is provided. From ancient times, Christian emphasis on practical charity gave rise to the development of systematic nursing and hospitals, and the Catholic Church today remains the largest non-government provider of medical services in the world. Advanced industrial countries (with the exception of the United States ) and many developing countries provide medical services through

2900-634: A student of the sage Ghora of the Angirasa family. Ghora is identified with Neminatha , the twenty-second tirthankara in Jainism , by some scholars. This phrase, which means "To Krishna the son of Devaki ", has been mentioned by scholars such as Max Müller as a potential source of fables and Vedic lore about Krishna in the Mahabharata and other ancient literature – only potential because this verse could have been interpolated into

3016-410: A system of universal health care that aims to guarantee care for all through a single-payer health care system or compulsory private or cooperative health insurance. This is intended to ensure that the entire population has access to medical care on the basis of need rather than ability to pay. Delivery may be via private medical practices, state-owned hospitals and clinics, or charities, most commonly

3132-535: Is a major deity in Hinduism . He is worshipped as the eighth avatar of Vishnu and also as the Supreme God in his own right. He is the god of protection, compassion, tenderness, and love; and is widely revered among Hindu divinities. Krishna's birthday is celebrated every year by Hindus on Krishna Janmashtami according to the lunisolar Hindu calendar , which falls in late August or early September of

3248-529: Is a private religious dedication of Heliodorus to " Vāsudeva ", an early deity and another name for Krishna in the Indian tradition. It states that the column was constructed by "the Bhagavata Heliodorus" and that it is a " Garuda pillar" (both are Vishnu-Krishna-related terms). Additionally, the inscription includes a Krishna-related verse from chapter   11.7 of the Mahabharata stating that

3364-407: Is an expression of empathy , and appears to be instinctual in primates. Dutch primatologist Frans de Waal has observed acts of consolation occurring among non-human primates such as chimpanzees . The formal concept of consolation as a social practice has existed since ancient times. For example, as an examination of letters from ancient Rome indicates of that culture: To console the bereaved

3480-555: Is celebrated as Krishna Janmashtami . The legends of Krishna's childhood and youth describe him as a cow-herder, a mischievous boy whose pranks earn him the nickname Makhan Chor (butter thief), and a protector who steals the hearts of the people in both Gokul and Vrindavana. The texts state, for example, that Krishna lifts the Govardhana hill to protect the inhabitants of Vrindavana from devastating rains and floods . Other legends describe him as an enchanter and playful lover of

3596-450: Is classified into primary, secondary, and tertiary care categories. Primary care medical services are provided by physicians , physician assistants , nurse practitioners , or other health professionals who have first contact with a patient seeking medical treatment or care. These occur in physician offices, clinics , nursing homes , schools, home visits, and other places close to patients. About 90% of medical visits can be treated by

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3712-680: Is common to all' and frequently mention the dispatch of food stuffs". It is noted that food may have been offered as a further consolation to the bereaved, or may have had a religious purpose. It is reported that in the Fifth Century BCE, the Sophist, Antiphon , set up a booth in a public agora where he offered consolation to the bereaved. Furthermore, "[v]isits of consolation in antiquity extended to popular levels as well", including visits by philosophers intended to hearten villages that were facing invasion. In both ancient Greece and Rome,

3828-530: Is derived from Latin medicus , meaning "a physician". Medical availability and clinical practice vary across the world due to regional differences in culture and technology . Modern scientific medicine is highly developed in the Western world , while in developing countries such as parts of Africa or Asia, the population may rely more heavily on traditional medicine with limited evidence and efficacy and no required formal training for practitioners. In

3944-583: Is listed as the 57th name in the Vishnu Sahasranama . Based on his name, Krishna is often depicted in idols as black- or blue-skinned. Krishna is also known by various other names, epithets, and titles that reflect his many associations and attributes. Among the most common names are Mohan "enchanter"; Govinda "chief herdsman", Keev "prankster", and Gopala "Protector of the 'Go'", which means "soul" or "the cows". Some names for Krishna hold regional importance; Jagannatha , found in

4060-415: Is moved and says his heart will not allow him to fight and kill others. He would rather renounce the kingdom and put down his Gandiva (Arjuna's bow). Krishna then advises him about the nature of life, ethics, and morality when one is faced with a war between good and evil, the impermanence of matter, the permanence of the soul and the good, duties and responsibilities, the nature of true peace and bliss and

4176-595: Is not a surgical discipline. Other medical specialties may employ surgical procedures, such as ophthalmology and dermatology , but are not considered surgical sub-specialties per se. Surgical training in the U.S. requires a minimum of five years of residency after medical school. Sub-specialties of surgery often require seven or more years. In addition, fellowships can last an additional one to three years. Because post-residency fellowships can be competitive, many trainees devote two additional years to research. Thus in some cases surgical training will not finish until more than

4292-527: Is noted in the works of later writers, particularly Cicero 's Tusculan Disputations and Plutarch 's Consolation to Apollonius . Seneca the Younger (4 BC–65 AD) produced the most recognizable examples of Consolatio in his three Consolations , Ad Marciam , Ad Polybium , and Ad Helviam Matrem . The most recognizable example of Consolatio in verse form is the pseudo-Ovidian Consolatio ad Liviam . Plutarch 's works include three works constructed in

4408-400: Is often too expensive for the average person. International healthcare policy researchers have advocated that "user fees" be removed in these areas to ensure access, although even after removal, significant costs and barriers remain. Separation of prescribing and dispensing is a practice in medicine and pharmacy in which the physician who provides a medical prescription is independent from

4524-462: Is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. According to some sources, an emphasis on internal structures is implied. In North America, specialists in internal medicine are commonly called "internists". Elsewhere, especially in Commonwealth nations, such specialists are often called physicians . These terms, internist or physician (in

4640-814: Is the science and practice of caring for patients, managing the diagnosis , prognosis , prevention , treatment , palliation of their injury or disease , and promoting their health . Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness . Contemporary medicine applies biomedical sciences , biomedical research , genetics , and medical technology to diagnose , treat, and prevent injury and disease, typically through pharmaceuticals or surgery , but also through therapies as diverse as psychotherapy , external splints and traction , medical devices , biologics , and ionizing radiation , amongst others. Medicine has been practiced since prehistoric times , and for most of this time it

4756-401: Is thrashing around, and at the other end a person seemingly holding a basket over his head. The earliest text containing detailed descriptions of Krishna as a personality is the epic Mahabharata , which depicts Krishna as an incarnation of Vishnu. Krishna is central to many of the main stories of the epic. The eighteen chapters of the sixth book ( Bhishma Parva ) of the epic that constitute

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4872-521: Is unrelated to the later Hindu god of the Bhagavad Gita fame. For example, Archer states that the coincidence of the two names appearing together in the same Upanishad verse cannot be dismissed easily. Yāska 's Nirukta , an etymological dictionary published around the 6th   century   BCE, contains a reference to the Shyamantaka jewel in the possession of Akrura , a motif from

4988-577: Is within the universe and beyond it, as well as the universe itself, always. The Bhagavata Purana manuscripts also exist in many versions, in numerous Indian languages. Chaitanya Mahaprabhu is considered as the incarnation of Krishna in Gaudiya Vaishnavism and by the ISKCON community. The date of Krishna's birth is celebrated every year as Janmashtami . According to Guy Beck, "most scholars of Hinduism and Indian history accept

5104-570: Is worshipped as the Supreme God and Svayam Bhagavan (God Himself). These sub-traditions arose in the context of the medieval era Bhakti movement . Krishna-related literature has inspired numerous performance arts such as Bharatanatyam , Kathakali , Kuchipudi , Odissi , and Manipuri dance . He is a pan-Hindu god, but is particularly revered in some locations, such as Vrindavan in Uttar Pradesh, Dwarka and Junagadh in Gujarat;

5220-553: The Bhagavad Gita can be considered, according to Friedhelm Hardy , as the first Krishnaite system of theology. Ramanuja , a Hindu theologian and philosopher whose works were influential in Bhakti movement , presented him in terms of qualified monism , or nondualism (namely Vishishtadvaita school). Madhvacharya , a philosopher whose works led to the founding of Haridasa tradition of Vaishnavism, presented Krishna in

5336-445: The Bhagavad Gita contain the advice of Krishna to Arjuna on the battlefield. During the ancient times that the Bhagavad Gita was composed in, Krishna was widely seen as an avatar of Vishnu rather than an individual deity , yet he was immensely powerful and almost everything in the universe other than Vishnu was "somehow present in the body of Krishna". Krishna had "no beginning or end", "fill[ed] space", and every god but Vishnu

5452-510: The Bhagavad Gita , when Arjuna learned that Krishna was dying of an injury, Krishna consoled him with touching philosophy. In Christianity , one of the iconic Stations of the Cross is sometimes titled, "Jesus consoles the daughters of Jerusalem". A substantial body of Christian literature exists exhorting followers to take consolation in their faith for the various ills that befall them in life. One branch of Christianity, Catharism , practiced

5568-653: The Bhagavad Gita . Around the 4th century CE, another tradition, the cult of Gopala-Krishna of the Ābhīras , the protector of cattle, was also absorbed into the Krishna tradition. Around 180 BCE, the Indo-Greek king Agathocles issued some coinage (discovered in Ai-Khanoum , Afghanistan) bearing images of deities that are now interpreted as being related to Vaisnava imagery in India. The deities displayed on

5684-486: The Consolatio or consolatory oration was a type of ceremonial oration , typically used rhetorically to comfort mourners at funerals. It became one of the most popular classical rhetoric topics. The Platonist philosopher Crantor of Soli (c. 325–c. 275 BC), a member of Plato's Academy , pioneered the writing of essays in this distinct tradition. Although only fragments of his essays have survived, his influence

5800-724: The Mahābhārata , the Harivamsa , the Bhagavata Purana , and the Vishnu Purana . The scenes from the narrative are set in ancient India, mostly in the present states of Uttar Pradesh , Bihar, Rajasthan , Haryana, Delhi, and Gujarat . The legends about Krishna's life are called Krishna charitas ( IAST : Kṛṣṇacaritas). In the Krishna Charitas , Krishna is born to Devaki and her husband, Vasudeva , of

5916-537: The Consolatio tradition: De exilio , Consolatio ad uxorem , Consolatio ad Apollonium . Historically and philosophically, consolation plays an important symbolic role in the sixth century work, On the Consolation of Philosophy . The author, Boethius , describes himself as being consoled by "Lady Philosophy" (a personification of philosophy ) after having been sentenced to death for alleged crimes against

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6032-597: The Gregorian calendar . The anecdotes and narratives of Krishna's life are generally titled as Krishna Līlā . He is a central figure in the Mahabharata , the Bhagavata Purana , the Brahma Vaivarta Purana , and the Bhagavad Gita , and is mentioned in many Hindu philosophical , theological , and mythological texts. They portray him in various perspectives: as a god-child, a prankster,

6148-922: The Jagannatha aspect in Odisha , Mayapur in West Bengal; in the form of Vithoba in Pandharpur , Maharashtra, Shrinathji at Nathdwara in Rajasthan, Udupi Krishna in Karnataka , Parthasarathy in Tamil Nadu and in Aranmula , Kerala, and Guruvayoorappan in Guruvayoor in Kerala. Since the 1960s, the worship of Krishna has also spread to the Western world and to Africa, largely due to

6264-578: The Puri Hindu temple, is a popular incarnation in Odisha state and nearby regions of eastern India . The tradition of Krishna appears to be an amalgamation of several independent deities of ancient India, the earliest to be attested being Vāsudeva . Vāsudeva was a hero-god of the tribe of the Vrishnis , belonging to the Vrishni heroes , whose worship is attested from the 5th–6th century BCE in

6380-639: The Yadava clan in Mathura . Devaki's brother is a tyrant named Kamsa . At Devaki's wedding, according to Puranic legends, Kamsa is told by fortune tellers that a child of Devaki would kill him. Sometimes, it is depicted as an akashvani announcing Kamsa's death. Kamsa arranges to kill all of Devaki's children. When Krishna is born, Vasudeva secretly carries the infant Krishna away across the Yamuna, and exchanges him with Yashoda 's daughter. When Kamsa tries to kill

6496-517: The developed world , evidence-based medicine is not universally used in clinical practice; for example, a 2007 survey of literature reviews found that about 49% of the interventions lacked sufficient evidence to support either benefit or harm. In modern clinical practice, physicians and physician assistants personally assess patients to diagnose , prognose, treat, and prevent disease using clinical judgment. The doctor-patient relationship typically begins with an interaction with an examination of

6612-863: The pharmacist who provides the prescription drug . In the Western world there are centuries of tradition for separating pharmacists from physicians. In Asian countries, it is traditional for physicians to also provide drugs. Working together as an interdisciplinary team , many highly trained health professionals besides medical practitioners are involved in the delivery of modern health care. Examples include: nurses , emergency medical technicians and paramedics , laboratory scientists, pharmacists , podiatrists , physiotherapists , respiratory therapists , speech therapists , occupational therapists , radiographers, dietitians , and bioengineers , medical physicists , surgeons , surgeon's assistant , surgical technologist . The scope and sciences underpinning human medicine overlap many other fields. A patient admitted to

6728-802: The 2nd century BCE with the coinage of Agathocles and the Heliodorus pillar, but the name of Krishna appears rather later in epigraphy. At the Chilas II archaeological site dated to the first half of the 1st-century CE in northwest Pakistan, near the Afghanistan border, are engraved two males, along with many Buddhist images nearby. The larger of the two males held a plough and club in his two hands. The artwork also has an inscription with it in Kharosthi script, which has been deciphered by scholars as Rama-Krsna , and interpreted as an ancient depiction of

6844-722: The European Union, the profession of doctor of medicine is regulated. A profession is said to be regulated when access and exercise is subject to the possession of a specific professional qualification. The regulated professions database contains a list of regulated professions for doctor of medicine in the EU member states, EEA countries and Switzerland. This list is covered by the Directive 2005/36/EC . Krishna Traditional Krishna ( / ˈ k r ɪ ʃ n ə / ; Sanskrit : कृष्ण, IAST : Kṛṣṇa [ˈkr̩ʂɳɐ] )

6960-577: The Hindu tradition to be the avatars of the goddess Lakshmi , the consort of Vishnu. Gopis are considered as Lakshmi's or Radha's manifestations. According to the epic poem Mahabharata , Krishna becomes Arjuna's charioteer for the Kurukshetra War , but on the condition that he personally will not raise any weapon. Upon arrival at the battlefield and seeing that the enemies are his family, his grandfather, and his cousins and loved ones, Arjuna

7076-532: The Jobares of Jamuna . Later, when Alexander the Great launched his campaign in the northwest Indian subcontinent , his associates recalled that the soldiers of Porus were carrying an image of Herakles. The Buddhist Pali canon and the Ghata-Jâtaka (No.   454) polemically mention the devotees of Vâsudeva and Baladeva. These texts have many peculiarities and may be a garbled and confused version of

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7192-600: The Krishna legends. The texts of Jainism mention these tales as well, also with many peculiarities and different versions, in their legends about Tirthankaras . This inclusion of Krishna-related legends in ancient Buddhist and Jaina literature suggests that Krishna theology was existent and important in the religious landscape observed by non-Hindu traditions of ancient India . The ancient Sanskrit grammarian Patanjali in his Mahabhashya makes several references to Krishna and his associates found in later Indian texts. In his commentary on Pāṇini's verse 3.1.26, he also uses

7308-649: The Sanskrit canon". Some scholars believe that, among others, the detailed description of Krishna's peace mission in the 5th Book of the Mahabharata (Udyogaparvan) is likely to be based on real events. The epic's translator J.A.B. van Buitenen in this context assumes “that there was some degree of verisimilitude in the Mahabharata’s depictions of life.” A wide range of theological and philosophical ideas are presented through Krishna in Hindu texts. The teachings of

7424-470: The UK where all doctors are now required by law to work less than 48 hours per week on average. The following are some major medical specialties that do not directly fit into any of the above-mentioned groups: Some interdisciplinary sub-specialties of medicine include: Medical education and training varies around the world. It typically involves entry level education at a university medical school , followed by

7540-487: The United States, can be searched at http://data.medobjectives.marian.edu/ Archived 4 October 2018 at the Wayback Machine . In most countries, it is a legal requirement for a medical doctor to be licensed or registered. In general, this entails a medical degree from a university and accreditation by a medical board or an equivalent national organization, which may ask the applicant to pass exams. This restricts

7656-473: The United States, must be completed in and delivered from a recognized university. Since knowledge, techniques, and medical technology continue to evolve at a rapid rate, many regulatory authorities require continuing medical education . Medical practitioners upgrade their knowledge in various ways, including medical journals , seminars, conferences, and online programs. A database of objectives covering medical knowledge, as suggested by national societies across

7772-567: The Yadavas to the newly built city of Dwaraka . Thereafter Pandavas rise. Krishna befriends Arjuna and the other Pandava princes of the Kuru kingdom. Krishna plays a key role in the Mahabharata . The Bhagavata Purana describes eight wives of Krishna that appear in sequence as Rukmini , Satyabhama , Jambavati , Kalindi , Mitravinda , Nagnajiti (also called Satya), Bhadra and Lakshmana (also called Madra). This has been interpreted as

7888-446: The absence of scientific medicine and are thus called alternative medicine . Alternative treatments outside of scientific medicine with ethical, safety and efficacy concerns are termed quackery . Medicine ( UK : / ˈ m ɛ d s ɪ n / , US : / ˈ m ɛ d ɪ s ɪ n / ) is the science and practice of the diagnosis , prognosis , treatment , and prevention of disease . The word "medicine"

8004-524: The air to "steal" butter or buttermilk, spilling it all over the group. Krishna legends then describe his return to Mathura. He overthrows and kills the tyrant king, his maternal uncle Kamsa/Kansa after quelling several assassination attempts by Kamsa. He reinstates Kamsa's father, Ugrasena , as the king of the Yadavas and becomes a leading prince at the court. In one version of the Krishna story, as narrated by Shanta Rao, Krishna after Kamsa's death leads

8120-589: The basis of physical examination: inspection , palpation (feel), percussion (tap to determine resonance characteristics), and auscultation (listen), generally in that order, although auscultation occurs prior to percussion and palpation for abdominal assessments. The clinical examination involves the study of: It is to likely focus on areas of interest highlighted in the medical history and may not include everything listed above. The treatment plan may include ordering additional medical laboratory tests and medical imaging studies, starting therapy, referral to

8236-509: The broadest meaning of "medicine", there are many different specialties. In the UK, most specialities have their own body or college, which has its own entrance examination. These are collectively known as the Royal Colleges, although not all currently use the term "Royal". The development of a speciality is often driven by new technology (such as the development of effective anaesthetics) or ways of working (such as emergency departments);

8352-572: The coins appear to be Saṃkarṣaṇa - Balarama with attributes consisting of the Gada mace and the plow , and Vāsudeva-Krishna with attributes of the Shankha (conch) and the Sudarshana Chakra wheel. According to Bopearachchi , the headdress of the deity is actually a misrepresentation of a shaft with a half-moon parasol on top ( chattra ). The Heliodorus Pillar , a stone pillar with

8468-459: The considerable legal authority of the medical profession to physicians that are trained and qualified by national standards. It is also intended as an assurance to patients and as a safeguard against charlatans that practice inadequate medicine for personal gain. While the laws generally require medical doctors to be trained in "evidence based", Western, or Hippocratic Medicine, they are not intended to discourage different paradigms of health. In

8584-440: The court of Chandragupta Maurya towards the end of 4th   century   BCE, made reference to Herakles in his famous work Indica . This text is now lost to history, but was quoted in secondary literature by later Greeks such as Arrian , Diodorus , and Strabo . According to these texts, Megasthenes mentioned that the Sourasenoi tribe of India, who worshipped Herakles, had two major cities named Methora and Kleisobora, and

8700-580: The different types of yoga to reach this state of bliss and inner liberation. This conversation between Krishna and Arjuna is presented as a discourse called the Bhagavad Gita . It is stated in the Indian texts that the legendary Kurukshetra War led to the death of all the hundred sons of Gandhari. After Duryodhana's death, Krishna visits Gandhari to offer his condolences when Gandhari and Dhritarashtra visited Kurukshetra, as stated in Stree Parva. Feeling that Krishna deliberately did not put an end to

8816-433: The events that led to the Bhagavad Gita  – a scripture of Hinduism. In these popular depictions, Krishna appears in the front as the charioteer, either as a counsel listening to Arjuna or as the driver of the chariot while Arjuna aims his arrows in the battlefield of Kurukshetra . Alternate icons of Krishna show him as a baby ( Bala Krishna , the child Krishna), a toddler crawling on his hands and knees,

8932-788: The examination for the Membership of the Royal College of Physicians (MRCP) or the equivalent college in Scotland or Ireland. "Surgery" refers to the practice of operative medicine, and most subspecialties in this area require preliminary training in General Surgery, which in the UK leads to membership of the Royal College of Surgeons of England (MRCS). At present, some specialties of medicine do not fit easily into either of these categories, such as radiology, pathology, or anesthesia. Most of these have branched from one or other of

9048-417: The expertise or procedures performed by specialists. These include both ambulatory care and inpatient services, emergency departments , intensive care medicine , surgery services, physical therapy , labor and delivery , endoscopy units, diagnostic laboratory and medical imaging services, hospice centers, etc. Some primary care providers may also take care of hospitalized patients and deliver babies in

9164-406: The figural sculpture on 17th–19th century terracotta temples of Bengal. In many temples, the stories of Krishna are depicted on a long series of narrow panels along the base of the facade. In other temples, the important Krishnalila episodes are depicted on large brick panels above the entrance arches or on the walls surrounding the entrance. This summary is an account based on literary details from

9280-471: The framework of dualism ( Dvaita ). Bhedabheda  – a group of schools, which teaches that the individual self is both different and not different from the ultimate reality – predates the positions of monism and dualism. Among medieval Bhedabheda thinkers are Nimbarkacharya , who founded the Kumara Sampradaya (Dvaitadvaita philosophical school), and Jiva Goswami ,

9396-558: The gopis (milkmaids) of Vrindavana, especially Radha . These metaphor-filled love stories are known as the Rasa lila and were romanticized in the poetry of Jayadeva , author of the Gita Govinda . They are also central to the development of the Krishna bhakti traditions worshiping Radha Krishna . Krishna's childhood illustrates the Hindu concept of Lila , playing for fun and enjoyment and not for sport or gain. His interaction with

9512-475: The gopis at the rasa dance or Rasa-lila is an example. Krishna plays his flute and the gopis come immediately, from whatever they were doing, to the banks of the Yamuna River and join him in singing and dancing. Even those who could not physically be there join him through meditation. He is the spiritual essence and the love-eternal in existence, the gopis metaphorically represent the prakṛti matter and

9628-653: The gut and the kidneys. In the Commonwealth of Nations and some other countries, specialist pediatricians and geriatricians are also described as specialist physicians (or internists) who have subspecialized by age of patient rather than by organ system. Elsewhere, especially in North America, general pediatrics is often a form of primary care . There are many subspecialities (or subdisciplines) of internal medicine : Training in internal medicine (as opposed to surgical training), varies considerably across

9744-401: The historicity of Krishna – that he was a real male person, whether human or divine, who lived on Indian soil by at least 1000 BCE and interacted with many other historical persons within the cycles of the epic and puranic histories." Yet, Beck also notes that there is an "enormous number of contradictions and discrepancies surrounding the chronology of Krishna's life as depicted in

9860-553: The hospital is usually under the care of a specific team based on their main presenting problem, e.g., the cardiology team, who then may interact with other specialties, e.g., surgical, radiology, to help diagnose or treat the main problem or any subsequent complications/developments. Physicians have many specializations and subspecializations into certain branches of medicine, which are listed below. There are variations from country to country regarding which specialties certain subspecialties are in. The main branches of medicine are: In

9976-501: The impermanent body. This Lila is a constant theme in the legends of Krishna's childhood and youth. Even when he is battling with a serpent to protect others, he is described in Hindu texts as if he were playing a game. This quality of playfulness in Krishna is celebrated during festivals as Rasa-Lila and Janmashtami , where Hindus in some regions such as Maharashtra playfully mimic his legends, such as by making human gymnastic pyramids to break open handis (clay pots) hung high in

10092-434: The information provided. During the encounter, properly informing the patient of all relevant facts is an important part of the relationship and the development of trust. The medical encounter is then documented in the medical record, which is a legal document in many jurisdictions. Follow-ups may be shorter but follow the same general procedure, and specialists follow a similar process. The diagnosis and treatment may take only

10208-459: The location where Krishna is believed to have died. It is also known as Dehotsarga , states Diana L. Eck , a term that literally means the place where Krishna "gave up his body". The Bhagavata Purana in Book 11, Chapter 31 states that after his death, Krishna returned to his transcendent abode directly because of his yogic concentration. Waiting gods such as Brahma and Indra were unable to trace

10324-773: The narrow sense, common outside North America), generally exclude practitioners of gynecology and obstetrics, pathology, psychiatry, and especially surgery and its subspecialities. Because their patients are often seriously ill or require complex investigations, internists do much of their work in hospitals. Formerly, many internists were not subspecialized; such general physicians would see any complex nonsurgical problem; this style of practice has become much less common. In modern urban practice, most internists are subspecialists: that is, they generally limit their medical practice to problems of one organ system or to one particular area of medical knowledge. For example, gastroenterologists and nephrologists specialize respectively in diseases of

10440-400: The natural color of the material out of which he is formed, both in India and in southeast Asia. In some texts, his skin is poetically described as the color of Jambul ( Jamun , a purple-colored fruit). Krishna is often depicted wearing a peacock-feather wreath or crown, and playing the bansuri (Indian flute). In this form, he is usually shown standing with one leg bent in front of

10556-504: The new specialty leads to the formation of a unifying body of doctors and the prestige of administering their own examination. Within medical circles, specialities usually fit into one of two broad categories: "Medicine" and "Surgery". "Medicine" refers to the practice of non-operative medicine, and most of its subspecialties require preliminary training in Internal Medicine. In the UK, this was traditionally evidenced by passing

10672-464: The newborn, the exchanged baby appears as the Hindu goddess Yogamaya , warning him that his death has arrived in his kingdom, and then disappears, according to the legends in the Puranas. Krishna grows up with Nanda and his wife, Yashoda , near modern-day Mathura . Two of Krishna's siblings also survive, namely Balarama and Subhadra , according to these legends. The day of the birth of Krishna

10788-557: The other in the Tribhanga posture. He is sometimes accompanied by cows or a calf, which symbolise the divine herdsman Govinda . Alternatively, he is shown as a romantic young boy with the gopis (milkmaids), often making music or playing pranks. In other icons, he is a part of battlefield scenes of the epic Mahabharata . He is shown as a charioteer, notably when he is addressing the Pandava prince Arjuna , symbolically reflecting

10904-439: The path Krishna took to leave his human incarnation and return to his abode. There are numerous versions of Krishna's life story, of which three are most studied: the Harivamsa , the Bhagavata Purana , and the Vishnu Purana . They share the basic storyline but vary significantly in their specifics, details, and styles. The most original composition, the Harivamsa is told in a realistic style that describes Krishna's life as

11020-447: The path to immortality and heaven is to correctly live a life of three virtues: self- temperance ( damah ), generosity ( cagah or tyaga ), and vigilance ( apramadah ). The Heliodorus pillar site was fully excavated by archaeologists in the 1960s. The effort revealed the brick foundations of a much larger ancient elliptical temple complex with a sanctum, mandapas , and seven additional pillars. The Heliodorus pillar inscriptions and

11136-477: The patient's medical history and medical record , followed by a medical interview and a physical examination . Basic diagnostic medical devices (e.g., stethoscope , tongue depressor ) are typically used. After examining for signs and interviewing for symptoms , the doctor may order medical tests (e.g., blood tests ), take a biopsy , or prescribe pharmaceutical drugs or other therapies. Differential diagnosis methods help to rule out conditions based on

11252-403: The point of living a life that includes suffering. Thus consolation implies a period of transition: a preparation for a time when the present suffering will have turned. Consolation promises that turning. In some contexts, particularly in religious terminology, consolation is described as the opposite or counterpart to the experience of "desolation", or complete loss. The desire to console others

11368-440: The possible exploitation of information for commercial gain on the other. The health professionals who provide care in medicine comprise multiple professions , such as medics , nurses , physiotherapists , and psychologists . These professions will have their own ethical standards , professional education, and bodies. The medical profession has been conceptualized from a sociological perspective . Provision of medical care

11484-551: The preparation of Krishna icons in design and architecture are described in medieval-era Sanskrit texts on Hindu temple arts such as Vaikhanasa agama , Vishnu dharmottara , Brihat samhita , and Agni Purana . Similarly, early medieval-era Tamil texts also contain guidelines for sculpting Krishna and Rukmini. Several statues made according to these guidelines are in the collections of the Government Museum, Chennai . Krishna iconography forms an important element in

11600-432: The primary care provider. These include treatment of acute and chronic illnesses, preventive care and health education for all ages and both sexes. Secondary care medical services are provided by medical specialists in their offices or clinics or at local community hospitals for a patient referred by a primary care provider who first diagnosed or treated the patient. Referrals are made for those patients who required

11716-518: The prize of the third-place finish. An example of this occurs in the Iliad , where Homer writes of an incident where Achilles is judging sporting contests being held among the Greeks during the funeral of Patroclus . During a chariot race, Eumelus, who is known to be a great chariot driver, has a crash that causes him to come in last. Achilles expresses a desire to give Eumeles the second-place prize,

11832-489: The state. Taken literally, Boethius consoles himself for the anguish of knowing that his death has been decreed by philosophizing. Religious figures are often depicted as offering consolation to their followers during times of grief. For example, in the Mahabharata , the Hindu avatar Krishna consoles his brother Balarama and the princess Sathya Bama after they have been humiliated for their prideful ways. More famously, in

11948-693: The supreme deity Narayana . These four inscriptions are notable for being some of the oldest-known Sanskrit inscriptions. A Mora stone slab found at the Mathura-Vrindavan archaeological site in Uttar Pradesh , held now in the Mathura Museum , has a Brahmi inscription. It is dated to the 1st   century   CE and mentions the five Vrishni heroes , otherwise known as Saṃkarṣaṇa, Vāsudeva, Pradyumna , Aniruddha , and Samba . The inscriptional record for Vāsudeva starts in

12064-435: The temple are among the earliest known evidence of Krishna-Vasudeva devotion and Vaishnavism in ancient India. The Heliodorus inscription is not isolated evidence. The Hathibada Ghosundi Inscriptions , all located in the state of Rajasthan and dated by modern methodology to the 1st   century   BCE, mention Saṃkarṣaṇa and Vāsudeva, also mention that the structure was built for their worship in association with

12180-619: The text, or the Krishna Devakiputra, could be different from the deity Krishna. These doubts are supported by the fact that the much later age Sandilya Bhakti Sutras , a treatise on Krishna, cites later age compilations such as the Narayana Upanishad but never cites this verse of the Chandogya Upanishad. Other scholars disagree that the Krishna mentioned along with Devaki in the ancient Upanishad

12296-458: The two brothers, Balarama and Krishna. The first known depiction of the life of Krishna himself comes relatively late, with a relief found in Mathura , and dated to the 1st–2nd century CE. This fragment seems to show Vasudeva , Krishna's father, carrying baby Krishna in a basket across the Yamuna . The relief shows at one end a seven-hooded Naga crossing a river, where a makara crocodile

12412-568: The two camps above; for example anaesthesia developed first as a faculty of the Royal College of Surgeons (for which MRCS/FRCS would have been required) before becoming the Royal College of Anaesthetists and membership of the college is attained by sitting for the examination of the Fellowship of the Royal College of Anesthetists (FRCA). Surgery is an ancient medical specialty that uses operative manual and instrumental techniques on

12528-652: The war, in a fit of rage and sorrow, Gandhari said, "Thou were indifferent to the Kurus and the Pandavas whilst they slew each other. Therefore, O Govinda, thou shalt be the slayer of thy own kinsmen!" According to the Mahabharata , a fight breaks out at a festival among the Yadavas, who end up killing each other. Mistaking the sleeping Krishna for a deer, a hunter named Jara shoots an arrow towards Krishna's foot that fatally injures him. Krishna forgives Jara and dies. The pilgrimage ( tirtha ) site of Bhalka in Gujarat marks

12644-443: The well-known Puranic story about Krishna. Shatapatha Brahmana and Aitareya-Aranyaka associate Krishna with his Vrishni origins. In Ashṭādhyāyī , authored by the ancient grammarian Pāṇini (probably belonged to the 5th or 6th   century   BCE), Vāsudeva and Arjuna , as recipients of worship, are referred to together in the same sutra . Megasthenes , a Greek ethnographer and an ambassador of Seleucus I to

12760-492: The word Kamsavadha or the "killing of Kamsa", an important part of the legends surrounding Krishna. Many Puranas tell Krishna's life story or some highlights from it. Two Puranas, the Bhagavata Purana and the Vishnu Purana , contain the most elaborate telling of Krishna's story, but the life stories of Krishna in these and other texts vary, and contain significant inconsistencies. The Bhagavata Purana consists of twelve books subdivided into 332   chapters, with

12876-492: The work of the International Society for Krishna Consciousness (ISKCON). The name "Krishna" originates from the Sanskrit word kṛṣṇa , which means "black", "dark" or "dark blue". The waning moon is called Krishna Paksha , relating to the adjective meaning "darkening". Some Vaishnavas also translate the word as "All-Attractive", though it lacks that meaning in Sanskrit. As a name of Vishnu , Krishna

12992-418: The world: see the articles on medical education for more details. In North America, it requires at least three years of residency training after medical school, which can then be followed by a one- to three-year fellowship in the subspecialties listed above. In general, resident work hours in medicine are less than those in surgery, averaging about 60 hours per week in the US. This difference does not apply in

13108-521: The writings of Pāṇini , and from the 2nd century BCE in epigraphy with the Heliodorus pillar . At one point in time, it is thought that the tribe of the Vrishnis fused with the tribe of the Yadavas , whose own hero-god was named Krishna. Vāsudeva and Krishna fused to become a single deity, which appears in the Mahabharata , and they started to be identified with Vishnu in the Mahabharata and

13224-419: Was an art (an area of creativity and skill), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancient philosopher and physician would apply bloodletting according to the theories of humorism . In recent centuries, since the advent of modern science , most medicine has become

13340-536: Was an important responsibility. The person offering consolation and the bereaved person were both expected to behave in certain ways and to say certain things, and the consoler to provide support of both an emotional and practical kind. Although "the most frequent occasion for consolation was death", ancient consolation literature addressed other causes for consolation, including "exile, poverty, political failure, illness, shipwreck, and old age". Papyrus letters from that era "often employ standard consolations, such as 'death

13456-567: Was seen as ultimately him, including Brahma , "storm gods, sun gods, bright gods", light gods, "and gods of ritual." Other forces also existed in his body, such as "hordes of varied creatures" that included "celestial serpents." He is also "the essence of humanity." The Harivamsa , a later appendix to the Mahabharata, contains a detailed version of Krishna's childhood and youth. The Chandogya Upanishad (verse III.xvii.6) mentions Krishna in Krishnaya Devakiputraya as

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